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Biomedical subjects

Sabine Verschueren

Publications and source records attributed to Sabine Verschueren.

6 recordsLinked to original sources

Effects of whole body vibration training on postural control in older individuals: a 1 year randomized controlled trial.

This randomized controlled trial investigated the effects of a 12 month whole body vibration training program on postural control in healthy older adults. Two hundred and twenty people were randomly assigned to a whole body vibration group (n=94), a fitness group (n=60) or a control group (n=66). The whole body vibration and fitness groups trained three times a week for 1 year. The vibration group performed exercises on a vibration platform and the fitness group performed cardiovascular, strength, balance and stretching exercises. Balance was measured using dynamic computerized posturography at baseline and after 6 and 12 months. Whole body vibration training was associated with reduced falls frequency on a moving platform when vision was disturbed and improvements in the response to toes down rotations at the ankle induced by the moving platform. The fitness group showed reduced falls frequency on the moving surface when vision was disturbed. Thus, whole body vibration training may improve some aspects of postural control in community dwelling older individuals.

Accidental Falls↗

Online movement control in multiple sclerosis patients with tremor: effects of tendon vibration.

Patients with intention tremor due to multiple sclerosis (MS) exhibit an increased reliance on visual feedback in the sensorimotor control of slow goal-directed movements. In the present study, the use of proprioceptive information was investigated in MS patients with intention tremor compared to MS patients without tremor and healthy controls. Tendon vibration was applied to the wrist extensor muscles during a memory-guided slow wrist step-tracking task to investigate the use of muscle spindle afferent information in online movement control. A significant reduction of movement amplitude was induced by tendon vibration in all three groups, but the effect was found to be smaller in MS patients with tremor (28%) than in subjects without tremor (50%). Vibration also induced an increase of overall tremor amplitude in the MS tremor group; however, its effect on movement amplitude was not directly related to (changes in) tremor severity. The results suggest that the decreased online use of proprioceptive information in MS patients with tremor reflects an adaptation over time to cope with a tremor-related noisy background. Abnormalities in proprioceptive processing may explain why MS patients with tremor show an increased reliance on visual feedback for online motor control.

Adult↗

Proprioceptive weighting changes in persons with low back pain and elderly persons during upright standing.

The purpose of this study was to examine whether postural instability observed in persons with spinal pain and in elderly persons is due to changes in proprioception and postural control strategy. The upright posture of 20 young and 20 elderly persons, with and without spinal pain, was challenged by vibrating ankle muscles (i.e. tibialis anterior, triceps surae) or paraspinal muscles. Center of pressure displacement was recorded using a force plate. Persons with spinal pain were more sensitive to triceps surae vibration and less sensitive to paraspinal vibration than persons without spinal pain. Elderly persons were more sensitive to tibialis anterior vibration than young healthy persons. These results suggest that spinal pain and aging may lead to changes in postural control by refocusing proprioceptive sensitivity from the trunk to the ankles.

Adult↗

Exercise programs for older men: mode and intensity to induce the highest possible health-related benefits.

BACKGROUND: Although health-related benefits of fitness training in older men are well established, it is not clear yet which mode and intensity of a exercise program is most effective. This study addresses whether the combination of endurance (ED) and resistance training in older men have supplementary health-related benefits in addition to profits attained through endurance training alone. Additionally, effects of moderate- and low-intensity resistance training are compared. METHODS: Men, 55-75 years of age, were randomly assigned to a control group (N = 13) or one of three exercise groups (20 weeks, two to three times per week): endurance plus moderate resistance (MR) training (N = 22), endurance plus low resistance (LR) training (N = 22) and endurance training only (N = 22). Cardiovascular (CV) risk factors, muscular fitness and postural control were assessed before and after training. RESULTS: All exercise groups revealed significant (P < 0.05) improvements in resting heart rate, work capacity and recovery, waist girth, insulin response and knee-extensor strength with no differences among groups. Body composition, resting metabolic rate (RMR), VO2peak and postural control did not change in exercise groups. CONCLUSION: In older men, a fitness program consisting of 20 weeks endurance training combined with resistance training is equally effective as endurance training alone. Moderate vs. low resistance training added to endurance training yields similar health-related benefits.

Aged↗

Ipsilateral coordination deficits and central processing requirements associated with coordination as a function of aging.

Young and elderly participants performed concurrent ipsilateral hand-foot movements either isodirectionally or nonisodirectionally. We determined performance by measuring the maximal cycling frequency at which the coordination pattern could be performed successfully (CF(max)). We also determined attentional costs by means of a dual-task paradigm. Findings revealed that CF(max) was significantly lower in the elderly than in the young participants for the nonisodirectional mode, whereas we observed no differences for the isodirectional mode. Under dual-task conditions, coordination deteriorated in the elderly group only. However, when we equated levels of task difficulty, differences between the groups disappeared. Furthermore, attentional costs did not differ between isodirectional and nonisodirectional movements. This indicates that age-related coordination deficits were not primarily evoked by reduced attentional resources or control in elderly persons.

Adult↗

Strength increase after whole-body vibration compared with resistance training.

PURPOSE: The aim of this study was to investigate and to compare the effect of a 12-wk period of whole-body vibration training and resistance training on human knee-extensor strength. METHODS: Sixty-seven untrained females (21.4 +/- 1.8 yr) participated in the study. The whole-body vibration group (WBV, N = 18) and the placebo group (PL, N = 19) performed static and dynamic knee-extensor exercises on a vibration platform. The acceleration of the vibration platform was between 2.28 g and 5.09 g, whereas only 0.4 g for the PL condition. Vibration (35-40 Hz) resulted in increased EMG activity, but the EMG signal remained unchanged in the PL condition. The resistance-training group (RES, N = 18) trained knee extensors by dynamic leg-press and leg-extension exercises (10-20 RM). All training groups exercised 3x wk-1. The control group (CO, N = 12) did not participate in any training. Pre- and postisometric, dynamic, and ballistic knee-extensor strength were measured by means of a motor-driven dynamometer. Explosive strength was determined by means of a counter-movement jump. RESULTS: Isometric and dynamic knee-extensor strength increased significantly (P < 0.001) in both the WBV group (16.6 +/- 10.8%; 9.0 +/- 3.2%) and the RES group (14.4 +/- 5.3%; 7.0 +/- 6.2%), respectively, whereas the PL and CO group showed no significant (P > 0.05) increase. Counter-movement jump height enhanced significantly (P < 0.001) in the WBV group (7.6 +/- 4.3%) only. There was no effect of any of the interventions on maximal speed of movement, as measured by means of ballistic tests. CONCLUSIONS: WBV, and the reflexive muscle contraction it provokes, has the potential to induce strength gain in knee extensors of previously untrained females to the same extent as resistance training at moderate intensity. It was clearly shown that strength increases after WBV training are not attributable to a placebo effect.

Adolescent↗